本文關(guān)鍵詞： 慢性腎小球腎炎 何學(xué)紅教授 中醫(yī)藥治療 經(jīng)驗總結(jié)　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：慢性腎小球腎炎簡稱腎炎,系指蛋白尿、血尿、高血壓、水腫為基本臨床表現(xiàn),起病方式各有不同,病情遷延,病變緩慢進展,可有不同程度的腎功能減退,最終將發(fā)展為慢性腎衰竭的一組腎小球病[1]。本病是尿毒癥的原發(fā)病之一,一般臨床預(yù)后欠佳,應(yīng)該予以重視。祖國醫(yī)學(xué)歷經(jīng)多年臨床實踐,對于慢性腎小球腎炎的醫(yī)治已取得較好療效,受到了醫(yī)學(xué)界的肯定和患者的好評。何學(xué)紅教授診療腎炎三十載,臨證豐富。老師將慢性腎炎歸屬于中醫(yī)“腰痛”范疇。提出本病總病機:以肺脾腎虧虛為本;水濕、濕熱、瘀血為標(biāo)。在診療上,老師以中醫(yī)整體觀念為指導(dǎo),抓住疾病本質(zhì),以補肺脾腎,益氣養(yǎng)陰為治則,自擬滋腎露。本方具有固本培元,扶助正氣,兼以祛邪之功,故以此為基礎(chǔ)方進行基本治療。但是,本病病證繁多復(fù)雜,因此在治療時不可拘泥一方。老師根據(jù)患者的不同臨床表現(xiàn),采取病證結(jié)合,同病異治的原則,分別針對蛋白尿、血尿、水腫進行專項治療。老師運用中醫(yī)藥臨床辨證施治的同時,分別從飲食起居、預(yù)防外感等多方面著手,指導(dǎo)患者進行后期生活調(diào)護,能有效改善癥狀,延緩腎臟病進展,療效顯著。
[Abstract]:Chronic glomerulonephritis refers to proteinuria, hematuria, hypertension and edema as the basic clinical manifestations. Finally, a group of glomerulonephritis will develop into chronic renal failure [1] .This disease is one of the primary diseases of uremia. The treatment of chronic glomerulonephritis has achieved good results, and has been recognized by the medical profession and praised by patients. Professor he Xuehong has been treating nephritis for 30 years. Clinical symptoms are abundant. The teacher ascribes chronic nephritis to the category of "low back pain" in traditional Chinese medicine. He puts forward the general pathogenesis of the disease: based on deficiency of lung, spleen and kidney; water dampness, dampness and heat; blood stasis. In diagnosis and treatment, the teacher takes the whole concept of traditional Chinese medicine as a guide and grasps the essence of the disease. To invigorate the lung, spleen and kidney, invigorate qi and nourish yin as the principle of treatment, self-designed nourishing kidney dew. This prescription has the characteristics of strengthening the original and nourishing the elements, helping the vital energy, and taking the work of dispelling evil as the basis for the basic treatment. However, the syndrome of this disease is various and complex. According to the different clinical manifestations of the patient, the teacher adopted the principle of combining disease with syndrome and treating the same disease differently, aiming at proteinuria and hematuria, respectively. The teacher, while applying traditional Chinese medicine to clinical differentiation of symptoms and signs, respectively, started from many aspects, such as eating and drinking, preventing exogenous feelings, and so on, to guide the patients in their later life and nursing, which can effectively improve their symptoms and delay the progress of kidney disease. The curative effect is remarkable.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R249;R277.5

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